Vasectomy reversal

vasectomy is an operation that is performed to sterilise men and is usually considered irreversible.

Reversal of this procedure, therefore, is very difficult.  The chances of success decrease as the man gets older and the length of time between the original vasectomy and the attempted reversal gets longer.  Overall, the operation is successful in restoring sperm to the semen in about 50% of men.  However, not all of these 50% will be able to achieve a pregnancy in their female partner.  A sperm count at about 3 months after the operation will determine whether the operation has been successful or not.

The operation

This involves making two small incisions in the scrotum.  The tube coming from each testicle (of which there are two) which usually carry the sperm are then located and carefully rejoined.  The cuts in the scrotum will then be sealed using one or two stitches which dissolve over 2-3 weeks.

You will be admitted and discharged on the same day as your operation.

You may have a small amount of swelling following the operation, even slight bruising of your scrotum, so rest as much as possible for a few days.  Discomfort at the wound site may be eased by painkillers.  Wearing supportive underpants and loose trousers may also aid your comfort.  You should avoid sex until the wound(s) is healed and you are pain-free.

Author: Mr Francis Chinegwundoh MBBS FRCS MS FRCS(Urol) FEBU MML

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